Symposium: A discussion of the videotapes of a difficult group

Three conference participants (Drs. Yvonne Agazarian, Louis Ormont and Saul Tuttman), each an experienced group therapist employing distinctly different styles and theoretical frames, react to a videotape of a Difficult Group and offer their respective critique and suggestions. The material was originally presented before an audience at the Eastern Group Psychotherapy Association Annual Conference (1985) in New York City. The audience first saw the videotape at the conference and then observed the interaction among panelists. This material was submitted for publication because: 1) issues of contrasting technique and theory are heightened by a concrete comparison of different clinicians' reactions to the same material; 2) the serious task of coping with a group of difficult patients is of concern to all group therapists who are faced with such challenges; 3) the circumstances, in which patients who feel needy and neglected chronically put pressure on the therapists, occur with frequency; at the same time, 4) the therapists are also under stress in that their supervisors and evaluators are scrutinizing their work. All of this makes for a fascinating and difficult dynamic situation. Finally, 5) examining this group material resulted in a lively exchange which was stimulating and interesting to both audience and participants.Yvonne Agazarian, Ed.D., is in private practice in Philadelphia, Pennsylvania.     

The group member's view of inner and outer reality: The Janus phenomenon applied to the group

This paper surveys some theoretical aspects of psychodynamic group treatment from the vantage point of the Janus phenomenon. This focus may provide some clarification in understanding how group therapy facilitates growth, especially in the relationships between inner realities and the realities of the external world. The paper explores and seeks bridges and connections between the dynamics of the group and intrapsychic dynamics. The inner view may be understood as intimately connected with intrapsychic concerns, whereas the issues for patients in groups do, to a degree, concern interpersonal processes in and projections onto the external world. The paper concludes that, thus far, we must accept less than perfect integration of theory and settle for limited domain reasoning (Scheidlinger, 1982). Erlebnis is the term coined by Paul Federn (1952) to refer to subjective experience of the self.     

Relapse dynamics during smoking cessation: recurrent abstinence violation effects and lapse-relapse progression

Smoking cessation is a process that unfolds over time and is characterized by intermittent lapses. We used parametric recurrent event survival analyses to better understand the dynamic relationship between a set of Abstinence Violation Effect (AVE, Marlatt & Gordon, 1985) responses to lapsing and subsequent lapse-relapse progression. Participants were 203 smokers who achieved abstinence and responded to items assessing three core components of the AVE (internal attribution, abstinence self-efficacy and guilt) following a total of 1,001 lapse episodes in near real time. Neither self-blame, self-efficacy, nor guilt following participants' first lapse predicted relapse. Controlling for responses to their first lapse, responses to each additional lapse did prospectively predict lapse progression, such that drops in self-efficacy were associated with accelerated progression to a subsequent lapse (HR = 1.09, CI = 1.02-1.15), while increases in internal attributions of blame actually protected against lapsing (HR = 0.98, CI = 0.97-0.99). Treatment with nicotine patches slowed recurrent lapse progression (HR = 0.58, CI = 0.48-0.70), but this effect dissipated over multiple lapses, and was moderated by elevated ratings of postlapse guilt (HR = 1.08, CI = 1.01-1.18), which predicted accelerated progression within the active patch group, while protecting against lapse in the placebo group. Results highlight the dynamic nature of lapse responses during smoking cessation, indicating that self-efficacy predicts progression from one lapse to the next, while attributions of self-blame and guilt influenced progression in unexpected ways.     

Relationship maintenance and biases on the line bisection task: Attractive alternatives,asymmetrical cortical activity,and approach–avoidance motivation

People in long-term romantic relationships possess relationship maintenance mechanisms designed to protect against the temptation of desirable relationship alternatives. The current research examined the link between relationship maintenance mechanisms and an index of neurologically based approach/avoidance motivation. Participants completed a line bisection task that yields measures of asymmetric activity in the right and left frontal cortices; such activity is thought to reflect people's level of approach/avoidance motivation. Compared to single participants, participants in committed relationships displayed relatively less left visual field bias on the line bisection task (indicative of greater left frontal cortical activation and greater cognitive avoidance motivation) in response to available, attractive opposite-sex targets. Decreased left visual field bias was particularly pronounced among individuals with moderate levels of relationship commitment — those expected to display the highest levels of relationship maintenance. These findings provide insight into perceptual, motivational, and neurological processes that may help people avoid tempting relationship alternatives.     

Motivated social categorization: fundamental motives enhance people's sensitivity to basic social categories

This article presents an evolutionary framework for identifying the characteristics people use to categorize members of their social world. Findings suggest that fundamental social motives lead people to implicitly categorize social targets based on whether those targets display goal-relevant phenotypic traits. A mate-search prime caused participants to categorize opposite-sex targets (but not same-sex targets) based on their level of physical attractiveness (Experiment 1). A mate-guarding prime interacted with relationship investment, causing participants to categorize same-sex targets (but not opposite-sex targets) based on their physical attractiveness (Experiment 2). A self-protection prime interacted with chronic beliefs about danger, increasing participants' tendency to categorize targets based on their racial group membership (Black or White; Experiment 3). This work demonstrates that people categorize others based on whether they display goal-relevant characteristics reflecting high levels of perceived desirability or threat. Social categorization is guided by fundamental evolved motives designed to enhance adaptive social outcomes.     

Free Will and Moral Responsibility: The Trap, the Appreciation of Agency, and the Bubble

In Part I, I reflect in some detail upon the free will problem and about the way its understanding has radically changed. First I outline the four questions that go into making the free will problem. Second, I consider four paradigmatic shifts that have occurred in our understanding of this problem. Then I go on to reflect upon this complex and multi-level situation. In Part II of this essay, I explore the major alternative positions, and defend my views, in new ways. Instead of trying to spread over many issues, I present one new argument against compatibilism, which I call ??The Trap??. This tries to explicate the main problem that I find with this position. Then I present an exposition of what we nevertheless need to follow, which I call ??the Appreciation of Agency??. This supports a measure of compatibilism in a more modest form, and opposes hard determinism. On this basis, we can confront the philosophical and practical questions, as to what we ought to believe and how we ought to live, with respect to free will and moral responsibility. This leads to what I call ??The Bubble,?? which addresses the way in which we deal with the tension between the absence of libertarian free will and The Trap, and the crucial need for the Appreciation of Agency. I conclude by reflecting upon three attributes of the free will problem that I consider central, but that have been neglected in the debate: complexity, risk and tragedy.     

Confessions that corrupt: evidence from the DNA exoneration case files

Basic psychology research suggests the possibility that confessions-a potent form of incrimination-may taint other evidence, thereby creating an appearance of corroboration. To determine if this laboratory-based phenomenon is supported in the high-stakes world of actual cases, we conducted an archival analysis of DNA exoneration cases from the Innocence Project case files. Results were consistent with the corruption hypothesis: Multiple evidence errors were significantly more likely to exist in false-confession cases than in eyewitness cases; in order of frequency, false confessions were accompanied by invalid or improper forensic science, eyewitness identifications, and snitches and informants; and in cases containing multiple errors, confessions were most likely to have been obtained first. We believe that these findings underestimate the problem and have important implications for the law concerning pretrial corroboration requirements and the principle of "harmless error" on appeal.